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Organization

MUSKOGEE VAMC

Active
Other names
VINITA VA CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization

Contact information

Practice address
27371 S 4410 RD, VINITA, OK 74301-7953
(615) 355-3451
Mailing address
PO BOX 94517, CLEVELAND, OH 44101-4517
(615) 355-3451

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
11/04/2009
Last updated
03/15/2024
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